While on a late trucking route, Travis hangs up the radio after talking to a
friendly trucker while on his way to the entrance of Silent Hill. A robed
figure with a hood suddenly dashes across the road in front of him and Travis
quickly turns to the side to miss the mysterious person. Upon stepping out of
his truck, a young girl eventually appears in front of his truck. She quickly
runs away. A concerned Travis follows after her. He makes a long peaceful
walk down the road toward Silent Hill. Little does he know that he is about to
confront his own personal demons as well as start a chain of events that will
set the stage for another unfortunate soul that will enter the town several
years from now.

Hi, and welcome to my first Silent Hill guide! This marks the fourth time I
have wrote a guide for my favorite genre (horror). I honestly feel that I work
best when writing for a horror game since I have so many ideas floating through
my head at times while typing one up and hopefully this Silent Hill: Origins
guide showcases that. This guide covers the basics, including a full
walkthrough, an item list, a full game script, extras, and I’m hoping to have a
story synopsis up before too long - not a full plot analysis mind you, but sort
of a retelling of the story from my point of view.

The walkthrough portion was written with as few spoilers as possible. I
certainly don’t like a survival horror spoiled for me on my first time through,
so I don’t intend to spoil it for any reader. Instead of merely telling you
the solution to a particular puzzle I provide hints instead of outright
spoiling it, so I will try to point you in the right direction before I give
you the lowdown.

I have set up the walkthrough portion much like my Fatal Frame III walkthrough
where I provide stage objectives that will allow a reader to quickly gaze upon
them for slight hints instead of having to look through a full walkthrough to
find out how to get one damn key. The objective list is also typed out for
readers that don’t want to risk having a certain portion spoiled for them.

Hopefully you’ll have as much of a blast reading this guide as I did typing up
this joker. Enjoy and, as always, email me if you have an questions, comments,
or anything else.

-- Review info

You can check out my review for Silent Hill Origins at the link below:

Travis normally walks while holding the analog but he can also run by holding
down the [] button while moving. It is best to avoid combat in some situations
so running instead of fighting will help out in some areas - especially when
fighting a group of enemies.

*******
STAMINA
*******

Travis will exhaust his current stamina while running or attacking causing him
to eventually slow down in order to catch his breath. Stand still and allow
Travis to catch his breath or use an Energy Drink to boost his stamina. Travis
will automatically recover his stamina within a few seconds regardless of what
he is currently doing.

******
HEALTH
******

Travis will take damage every time that an enemy hits him. Damage received
depends on the type of attack and type of enemy. To check Travis’ current
condition, enter the Inventory menu and examine the small screen in the lower
right hand corner. A green screen means that Travis is at full health. Slight
static on the screen means that Travis has suffered little to moderate damage.
A red static screen means that Travis has been damaged severely - Travis’
heartbeat can be heard during normal gameplay while he is severely damaged as
well. Use a Health Drink, First Aid Kit, or Ampoule to heal Travis.

Much like Silent Hill 1-3, Travis wears a pocket flashlight that can be toggled
on or off by pressing the O button. Turning the flashlight on will light up
any dark area but keep in mind that it will also attract nearby enemies. An
enemy’s line of vision is much shorter while in the dark, sometimes allowing
Travis to sneak by an enemy unharmed.

*************
FINDING ITEMS
*************

Items can be found throughout the various rooms of Silent Hill either hidden or
out in the open. Keep in mind that Travis will always turn his head to look at
an item while next to one if an item is nearby.

******
COMBAT
******

Hold the R button to enter combat stance while equipped with a weapon then
press the X button to attack. Attacks with melee weapons will differ depending
on whether the X button is tapped or held in place. There are many different
weapon varieties of weapons that offer many types of attacks and combination
attacks. See the lists below for details.

*******
WEAPONS
*******

=====
Fists
=====

Travis’ bare fists can be useful against weaker enemy types. His bare hands
are the weakest hits in the game however. The Moon Gauntlets defeat any enemy
in one hit - beat the game to receive them on a second playthrough (start from
the clear game save).

-- Weapons:

Bare Hands (Unequipped), Moon Gauntlets

-- Command(s):

Two Hit Combo - X, X

==================
One-Handed Weapons
==================

The unique aspect of a one-handed weapon is that Travis can still move while
attacking. This allows him to circle an enemy and possibly avoid attacks while
hitting the enemy. The fact that he does not have to stop moving during any of
the swings makes these weapons extremely useful.

Tossing these objects can cause some major damage once Travis throws them
toward an enemy. Usually, a toss will instantly knock down a medium sized
enemy, allowing Travis to finish it off. Keep in mind that once these objects
are thrown, they are gone, so use them wisely and don’t miss!

The target pistol is the first firearm found near the beginning of the game.
Use it for normal enemies and don’t worry too much about ammo.

Power: *
Max Ammo: 6

-- Shotgun

The Shotgun is most effective at close range, but it still packs a good punch
from long range. It can only hold 2 shells at a time, so you will be reloading
quite a bit while using this gun.

Power: ***
Max Ammo: 2

-- Service Pistol

The service pistol is slightly stronger and holds more ammo at a time when
compared to the target pistol.

Power: **
Max Ammo: 8

-- Hunting Rifle

The hunting rifle has some really good power from long or short range. Use
this for boss fights or some of the bigger enemies found later in the game.
Don’t save it for just boss fights this time - it is not the most powerful
weapon in the game! The only time where you will want to save rifle ammo is
while moving through the building where Travis first finds this weapon.

Power: ****
Max Ammo: 4

-- Assault Rifle

Along with the Reedeemer, it can be argued that this is the most powerful
weapon in the game. Each shot takes off quite a bit of damage and then you can
add in the fact that this is a rapid fire weapon - with this combination the
damage dealt increases dramatically. The assault rifle can use up ammo rather
quickly, so don’t use it very often.

Power: ****
Max Ammo: 16

-- Reedemer

The Reedemer is the most powerful weapon in the game. This magnum takes off
the most damage per shot, but the ammo is rare. Save either this weapon or the
assault rifle for boss fights.

Power: *****
Max Ammo: 6

-- Tesla Rifle

The Tesla Rifle doesn’t pack that much power per shot, but its rapid fire and
the fact that the gun has infinite ammo kind of makes up for the low damage
rate. The UFO endings must be achieved and the clear file must be saved
afterwards in order to start the game over with this. Go nuts on your enemies
with this baby during your clear game!

Power: **
Max Ammo: --

******************
FINISHING AN ENEMY
******************

Many of the enemies in Silent Hill: Origins can be finished by performing a
finishing blow. Stand over a monster and press the X button to perform a
finishing move. The finishing blow’s animation will depend on whatever weapon
that Travis currently has equipped - he can also stomp on them while not
equipped with a weapon. Each finishing blow for a weapon that has health will
cause the weapon to take damage and each finishing blow dealt with a gun will
cause a shot to be consumed if the gun is loaded.

Not all enemies must be finished however. Some enemies such as the Remnant and
Caliban cannot be hit with a finishing blow. These type of enemies will
automatically die once enough of their health has been consumed. Keep in mind
that all enemies can still be killed after receiving enough damage while
grounded also.

Below is a full walkthrough of the entire game of Silent Hill Origins complete
with objective lists and items checklists. The item checklists are the same
lists used in the "Item Checklists" section of this walkthrough.

Here’s a few other things you should know about this walkthrough:

- Key items will be surrounded with "++" and files will be surrounded with
"[]".
- Only items found on the streets of Silent Hill will be give a full location
description - every other item will be simply listed with a slight mention
and perhaps description if they are well hidden.
- Some rooms will have "(OW)" beside them which stands for Otherworld - in
other words, Travis will be in Otherworld while in that particular room.
- Objective lists are before each subsection, and they are intended to give
non-spoiler guidance to any reader that needs a slight nudge in the right
direction.

Once the beginning FMV is over, move down the road in front of Travis’ truck.
A vocal song will begin to play in the background as Travis steps down the road
on his journey to the entrance of the town of Silent Hill. Walk past the
"Welcome to Silent Hill" sign to trigger another cutscene.

An interesting note about this beginning area is if you stand near the truck
and let the song play out fully (all 4 minutes worth) a voice will call out to
Travis as he walks toward the Silent Hill entrance. Keep in mind that you
cannot leave the front of the truck while the song plays if you want to hear
it.

( ) Find the girl in the upstairs room
( ) Bring the girl out of the burning house
--------------------------------------------------------------------------

== Front Room ==

Find the stairs up ahead to the right that lead upwards and start to move up
them. A cutscene will play in the middle of the staircase. Open the door
directly in front of the staircase.

== Upstairs ==

Move straight ahead then walk to the left and walk along the path beside the
burning furniture. When a choice of two paths can be chosen, take the right
path since the door down the left path cannot be opened. Move around the left
corner and walk over to the side with the burnt figure lying in a red circle
surrounded by candles. Walk toward this badly burnt girl and a cutscene will
play once Travis is close enough.

Travis will carry the girl in his arms once control is given back to you, so
maneuver through the fire the same way that you came from. Smoke will start to
cloud the room so visibility will be poor from now on. Eventually a cutscene
will trigger.

== Downstairs ==

Maneuver through the burning furniture and a slight cutscene will play as
Travis moves close to some of the flame walls. A symbol will appear then the
flames will disappear in two areas. Get to the door that the flame path will
lead to then open it.

== Front Room ==

Move down the corridor beside the stairs then run out the open front door for a
cutscene.

Travis will start out on a bench in the middle of the town of Silent Hill. He
will grab a map from the display in the cutscene so you’ll automatically get
the [MAP OF SILENT HILL].

Head north on Crichton St. and be sure to look for the item pickups in the
surrounding area. Every Health Drink counts on your first playthrough in this
game, so be sure to horde them now. No enemies will appear on the streets at
this time so take your time while exploring them.

( ) Collect the map of Alchemilla Hospital from the bulletin board in the Lobby
( ) Find the path to Otherworld in Room 205 by touching the mirror after trying
to leave the room
( ) Enter the Women’s Restroom and touch the mirror to go to Otherworld
( ) Collect the Plastic Lungs from Room 205 (OW)
( ) Collect the Golden Egg from Room 202 (OW)
( ) Use the Golden Egg to unlock the door to the Women’s Restroom (OW)
( ) Collect the Plastic Liver in the Women’s Restroom
( ) Travel back to the normal world via the mirror in the Women’s Restroom
(OW)
( ) Collect the Staff Lounge Key from the Women’s Restroom
( ) Unlock the Staff Lounge
( ) Collect the Exam Room Key from the Staff Lounge
( ) Unlock the Exam Room
( ) Pick up the Plastic Intestine and the Plastic Stomach from the Exam
Room
( ) Return to Otherworld via the Women’s Restroom and enter the combination
into the box in Room 204 (OW) to collect the Plastic Heart
( ) Return to the normal world then go back to the Exam Room with all five
plastic organs and place them all in the plastic figure
( ) Collect the Glass Eyes from the plastic figure after placing the organs
( ) Return to Otherworld via the Women’s Restroom and place the glass eyes on
the door with the mask in the West Corridor (OW) to unlock it
( ) Enter the Exam Room (OW) then open the door to the Doctor’s Office (OW)
( ) Defeat the boss and collect the Future Piece of the Flauros
( ) Exit Alchemilla Hospital through the exit in the First Floor East Corridor
--------------------------------------------------------------------------

== Front Lobby ==

Pick up the [PUBLIC NOTICE] file and the [HOSPITAL MAP] on the bulletin board
to the right. The red triangle to the side of the reception counter is the
save point for Silent Hill Origins, so be sure to save your game there. The
door to the nearby Exam Room is locked. Walk down the hallway to the left and
open the set of doors at the end.

The door to the east is the only one that will open so ignore the others. The
door to the Women’s Restroom is locked from the other side.

== First Floor East Corridor ==

Walk toward the elevator to the north. A cutscene will play eventually. The
door to the Staff Lounge is locked and the door to the staircase is locked from
the other side. All other doors are locked, so enter the elevator.

== Elevator ==

Interact with the controls and choose to go up to the second floor - the other
floors cannot be selected.

== Second Floor Corridor Outside Elevator ==

Open the set of doors to the left.

== Second Floor Corridor Outside Intensive Care ==

A cutscene will play then Travis will be attacked by a Nurse. Pick up the
Hammer and equip it - D-pad down to do both - then walk up to the Nurse and hit
her by tapping the X button. If the button is tapped twice then Travis will
perform two swings; if the button is pushed in with more force then Travis will
perform a stronger slightly charged swing, which you don’t really want to rely
upon with close encounters.

You can also back up as she swings her syringe then attack her while she
recovers. It’s very easy to hit this particular enemy type as she swings
however.

Pick up the [DOCTOR’S DIAGNOSIS] from the cart to the side of the room.
Examine the mirror and Travis will make a comment that the other side appears
different. Try to leave the room and a cutscene will play.

Walk toward the mirror after the cutscene and interact with it by pressing the
X button.

Interacting with any mirror will allow Travis to travel to Otherworld - a
darker version of Silent Hill. Rooms found in Otherworld will have an "OW"
acronym beside them in this walkthrough.

Pick up the **PLASTIC LUNGS** from the box on the car to the left then be sure
to grab the Scalpel and the Health Drink on your way out of the room - the
Health Drink is inside a cabinet to the right of the exit door.

Pick up the Drip Stand and walk over to the box on the bed and collect the
[BLOODY NOTE]. The combination to this box will be found later. If you want
to know it this very second then you’ll have to do some work to find it below
because I’m not going to mention here.

"Even the blind have need of eyes. If they wish to gaze at the future."

This door requires an item which Travis does not have yet. Defeat the Nurse to
the right then walk over to the door to the Women’s Restroom. The door has an
oval impression and the following message on it:

Even in the inferno
From out of the flames
I saw life born anew

Place the Golden Egg key item inside the oval on the door - stand in front of
the door and use the Golden Egg. This will unlock the door, so open it.

There is a mirror to the side, but don’t travel back to the normal world just
yet. Check the wall of the stall right beside the mirror and collect the
[STUDENT’S MNEMONIC]. Walk over to the second toilet and interact with it.
Remove the cistern lid and take the **PLASTIC LIVER** from inside. Walk over
to the mirror and interact with it to return to the normal world Women’s
Restroom.

Find the Energy Drink across from the mirror then check the last stall to find
the **STAFF LOUNGE KEY** on top of the toilet lid. Check the door of the
second stall to see "Amy 31" wrote across it. If you recall, the door to the
Women’s Restroom was locked from the inside when Travis first entered the
hospital. Walk over to the door and unlock it then step out into the west
corridor.

Notice the person up ahead. Walk toward the figure and... it’s a plastic
model. Check the room over for items and be sure to collect the [STAFF MEMO]
on the desk near the typewriter and the **PLASTIC INTESTINE** and **PLASTIC
STOMACH** from the two sinks.

The plastic figure to the side is actually a puzzle, but we first need to get
the final piece of this puzzle since it requires five organs and we only have
four. Walk over to the X-ray near the sinks and turn the light box on then
examine it to see "Sarah 19" wrote on the X-ray.

Go back to the Women’s Restroom and return to Otherworld then reenter Room 204
on the second floor.

Collect the **PLASTIC HEART** from the box then travel back to Otherworld via
the mirror in the first floor Women’s Restroom then reenter the Exam Room in
the Lobby. A Nurse will be right next to Travis after opening the door that
leads out of Room 204 (OW), so be ready to tag her - same thing for the First
Floor West Corridor.

The plastic figure’s eyes will open once all of the organs have been placed
properly. Walk to the front of its head and collect the **GLASS EYES**. Go
back to the Women’s Restroom then return to Otherworld.

A Nurse will be waiting right in front of the door and will take a swing at
Travis as he steps out so knock her upside the head with a dripstand or other
object then walk over to the door on the far left that has the mask on it.
Place the Glass Eyes on the door to unlock it then enter the Lobby.

== Lobby (OW) ==

Two Nurses will attack in this corridor. Enemies in this game can be quite
deadly when fought in pairs, so be careful if you choose to fight. It might
pay you to run by them and collect the items at the end of the corridor then
enter the Exam Room.

If you do, then a cutscene will trigger and you won’t be able to scan over this
room. There is a scalpel on the mattress next to the body. Some monster cut
out the eyes from the skinned body and cut her open - who could’ve done that!?

Yes, the boss is just a simple little Straight-jacket enemy much like the one
that was fought by James in Silent Hill 2. The Straight-jacket has become much
more aggressive since its appearance in that game however.

Its basic attacks are the acid spit ball and a dash attack. Wait for it to
vomit acid then quickly run to the side to dodge its acid attack. To avoid the
dash attack you can simply run around it - it’s possible to run around it and
make it cancel the attack. If it latches onto Travis during the attack then
press the random button icon that appears on-screen in order to push the boss
off.

Don’t ever just run up and hit this enemy. Wait for it to spit an acid ball
then run to the side. Right after dodging the acid spit, run toward the
Straight-jacket as it recovers and hit it with a melee weapon - preferably a
hammer or other similar type of weapon. Once you have started to hit the
Straight-jacket then you can basically beat it until it dies. As long as it
doesn’t turn its back to Travis while he hits it, Travis will always be able to
knock it out of either attack that it performs while he remains close. If it
does turn its back then consider moving away and waiting for another chance to
get close to it.

This boss can easily be taken out with Travis’ bare fists. All you have to do
is find an opening then the boss will basically be your punching bag for the
rest of the fight. He doesn’t have that much life at all. Be forewarned that
you may have to finish the enemy in order to defeat him - just walk over to his
body and press the X button just like with a Nurse.

Pick up the **FUTURE PIECE** from the red circle after the battle and a
cutscene will play.

The entrance door that Travis entered the hospital from is locked. Be sure to
save your game at the red triangle save point then go through the West Corridor
and enter the East Corridor. Use the exit doors to the south of the East
Corridor to exit the hospital.

( ) Locate the front of the Butcher Shop in the south and enter it
( ) Make your way through the Butcher Shop and exit via the back door
( ) Work your way to the Cedar Grove Sanitarium in the east and enter the
building
-------------------------------------------------------------------------------

Run down the path with brick walls and move out onto Canyon St. You’ll notice
that the streets are now crawling with enemies - Straight-jackets. The
Straight-jackets are exactly like the boss you just fought, and they’re just as
vicious.

All the enemies should be avoided since there is no reason to fight them. Run
from all the Straight-jackets.

The next objective is to reach the Butcher Shop, which is on the south side of
Low St. Go east on Cielo Ave. then take Low St. as far to the south as you can
and the Butcher Shop entrance will be on the east side of the road, northeast
of the intersection of Low St. and Toluca Ave. - well, what’s left of that
intersection. Follow the items list below and it will basically take you
there.

Save your game at the save point inside then be sure to check around the
counter for some item pickups. The Meat Hook listed below is stuck in the slab
of meat hanging to the side before walking around the counter.

A cutscene will play as Travis enters this room - a most violent cutscene.
Collect the items in the room - the First Aid Kit is on the left wall and the
Meat Cleaver is stuck in the slab of meat up ahead. Exit the Butcher Shop
through the back door.

The next goal is to get to the Cedar Grove Sanitarium in the east. Carrions
will now appear along the streets of Silent Hill. The Carrions are the animal-
like creatures that usually stand out in the streets. Don’t get near the
Carrions and they will usually leave you alone. They are quite violent once
they start to attack, so always keep your distance so they won’t catch Travis
with their lunge attacks.

Travel all the way to the east on Toluca Ave. then take Acadia Rd. to the north
and find the entrance gate of the path that leads to the Sanitarium. Move
along the path and enter the courtyard then work your way past all the enemies
among the trees and enter the Cedar Grove Sanitarium.

- - - - - - - - - - - - - - - - - - ITEM(S) - - - - - - - - - - - - - - - - - -
[ ] Energy Drink - After stepping out of the alley leading away from the
[ ] Target Pistol Ammo Butcher Shop, find the next alley to the east and this
will be on top of the second dumpster at the end of
the alley.

[ ] Parking Ticket file - Right before getting to the intersection of Toluca
and Borden, check the hood of the car to the north.

[ ] Crate - Northeast of the intersection of Toluca and Borden, behind a brick
wall on a dumpster - north side of the street of Toluca Ave.

[ ] Jagged Wood - Check the trash cans to the east of the crate pickup.

[ ] Wrench - On the hood of a car almost directly across from the front
[ ] Health Drink gate of the Sanitarium on Acadia Rd.

[ ] Target Pistol Ammo - Near a tree in the north middle portion of the
Sanitarium Courtyard.

( ) Collect the Sanitarium Map in the East Solarium
( ) Climb the East Staircase and enter the TB Ward then solve the Iron Lung
puzzle to collect the Basement Key
( ) Unlock the door to the Basement at the bottom of the East Staircase
( ) Move through the basement and enter the Northeast Staircase then go to the
second floor Female Hydrotherapy and drain the hot tub
( ) Use the mirror in the Female Treatment Room to go to Otherworld
( ) Enter the Northeast Staircase (OW) then move down to the second floor
and use the mirror in the Women’s Restroom (OW) to return to the normal
world
( ) Flush the toilet in the open stall of the Women’s Restroom
( ) Enter Female Dorm 5 and pick up the Patient Belongings Key
( ) Return to the First Floor Middle Lobby and unlock the Patient Belongings
room with the Patient Belongings Key
( ) Touch the mirror in the Patient Belongings room to go to Otherworld
( ) Enter the East Staircase (OW) and go down to the Basement then enter
the East Pipe Room (OW) and collect the Interview Archives Key
( ) Find the East Storage Room (OW) in the Basement then touch the mirror
to go back to the normal world
( ) Return to the Second Floor Middle Lobby and unlock the Archives room
( ) Touch the mirror in the Archives to go to Otherworld
( ) Enter the West Staircase (OW) and venture into the Basement
( ) Take the Basement corridors to the Northwest Staircase (OW) then enter
the Infirmary (OW)
( ) Solve the Pill Puzzle in the Infirmary (OW) to gain Dr. Harris’ Key
( ) Go back through the corridors in the Basement then enter the West
Storage Room (OW) and touch the mirror to go back to the normal world
( ) Climb the West Staircase and return to the First Floor Middle Lobby then
unlock the door to the Doctor’s Office
( ) Collect the Jocasta Artifact from the desk in the Doctor’s Office
( ) Return to the Women’s Restroom on the first floor and use the mirror to
return to Otherworld
( ) Walk out into the First Floor Corridor Outside Northeast Staircase (OW)
and place the Jocasta Artifact on the door that leads to the Female
Seclusion (OW)
( ) Fight the boss in Room 5 of the Female Seclusion then collect the Past
Piece of the Flauros
( ) Walk to the front of the lobby near the entrance to the Sanitarium and pick
up the Theater Ticket on the table
( ) Exit the Sanitarium
-------------------------------------------------------------------------------

== First Floor Middle Lobby ==

Walk into the middle of the Lobby then pick up the [’MAGPIE’ NOTE] under the
door to the Doctor’s Office, which is the left door directly ahead. The
Doctor’s Office is locked for the moment.

Walk back out into the middle of the lobby and enter the West Solarium - look
for the door to the left (as if you just entered) with the "West Solarium"
label.

Grab the two Target Pistol Ammo pickups in front of the chair with the doll
then collect the ++TARGET PISTOL++ from the seat with the doll. Walk back out
into the Lobby and enter the door on the right side of the room with the "East
Solarium" label to the side of the door.

Pick up the [SANITARIUM MAP] on the table to the right after entering - finally
there should be no more guessing as to which room is which! Grab the [STATUS
REPORT, 3/12/1960] file from the desk in the northeast corner of the room then
exit the room via the door on the opposite side of the wall from where you
entered.

Save your game at the red triangle save point on the side wall next to the
first floor door. Both items are on the basement floor across from the
basement door - on the chair and near a wooden column. The basement door is
locked, so head up the stairs and open the second floor door.

While moving ahead some footsteps can be heard. There is a floating harness up
ahead - this enemy is known as the Remnant. These type of enemies are very
dangerous and should be avoided if you do not know how to fight them. Even if
you do know how to fight them, they can still get the best of you at times.

They always lunge forward with an overhead attack as Travis steps in front of
them, so back away as they attack then rush toward them and attack as they
recover. Once the Remnant has been attacked, you need to step to the side as
it attacks again - sometimes this doesn’t work out too well though, but most of
the time Travis will avoid the attack. Attack once again then prepare to
dodge. These enemies do not need to be finished. DO NOT fight these enemies
in pairs when they appear in groups later or they will likely heavily damage
you. Avoid them as much as possible.

You can also use the target pistol to kill these enemies. It takes 6 shots to
kill each one. Enter the Storage Room to the north to find some item pickups.

Check the shelves once again for plenty of items. The Shotgun will be found
later, so go ahead and stock up on the ammo for it. Exit this room then enter
the Second Floor Lobby in the middle of the second floor.

Don’t bother with fighting any of the Nurses in here - once one of them is
alerted, the whole crowd of enemies will start to gang up. The door to the
Archives in the north is locked for now. Run around all the Nurses and enter
the T.B. Ward to the west.

== TB Ward ==

Pick up the [IRON LUNG WARNING] file from the side of the iron lung machine on
the east side of the room.

Examine the iron lung panel where the file was. You need to adjust the
pressure of the iron lung machine, so that it overloads.

/---------------------------------------------------------------------
| IRON LUNG PUZZLE |
|---------------------------------------------------------------------|
| |
| -- Hint |
| |
| This can be done many ways so trial and error works best for |
| those that don’t want to have the puzzle spoiled for them. |
| Press the valves on the end and the one in the middle. |
| |
|=====================================================================|
| |
| --> SOLUTION |
| |
| Press the following: 1 - 1 - 3 - 3 - 5 - 5 |
| |
| There are many solutions for this however. |
| |
----------------------------------------------------------------------/

Check the front of the iron lung machine and collect the **BASEMENT KEY** that
the machine releases. Walk back out into the Second Floor Lobby then get back
to the East Staircase and run to the bottom. Unlock the door to the basement
at the bottom of the East Staircase. Be sure to save your game on the first
floor before entering.

The camera angle will show a Carrion as Travis enters this area. There is no
reason to go down the corridor that the Carrion paces back and forth through,
though you’ll need to enter the first door that leads to the Basement Corridor
Outside Northeast Staircase in order to continue. The East Pipe Room doesn’t
contain any items and is useless in the normal world - only in Otherworld does
it serve a purpose. The Storage Room in this corridor is locked from the other
side. For now, enter the Basement Middle Storage and collect the items there
then exit the room.

== Basement Middle Corridor ==

There are three Remnants in here, so do not try to fight any of them. Just run
by them and collect the items then get out. The Jagged Wood pickup is down the
south corridor and the Target Pistol Ammo is on the floor in front of the door
at that end. Both doors are locked, so just exit the area once you’ve
collected the items. Enter the Storage Room in this corridor before leaving
and collect the items inside.

Two Straight-jackets will attack in this corridor. The Meat Hook pickup in
this room is very hard to see - it is on the right wall while walking to the
northeast corridor and looks much like a pipe. The door to the middle corridor
is locked, so open the door to the Northeast Staircase.

Two Nurses are at the south end of the corridor. Locate the Female
Hydrotherapy in the south and enter this room.

== Female Hydrotherapy ==

Save your game at the save point on the far wall.

Check the middle tub that is full of hot water to notice a key at the bottom.
Interact with the control (with the green light) and drain the tub. The key
inside will go down the drain - it will appear in another area later. Find the
Female Treatment Room (Female Treat) in the outside corridor and enter.

== Female Treatment Room ==

Look for the mirror at the sink and touch it to go to Otherworld.

== Female Treatment Room (OW) ==

Take the Target Pistol Ammo from in front of the doll on the bed then exit the
room.

Watch for the two Remnants and collect the Alcohol Bottle from the stand on the
southwest side of the corridor then open the door to the staircase. All doors
other than the Female Treatment Room are locked on this floor.

Some Target Pistol Ammo is to Travis’ left upon entering this area. Save your
game at the save point on the first floor. Don’t open the doors to the first
floor just yet. Go all the way down to the basement level and open the set of
doors to the basement.

The door directly ahead is locked. Defeat the Carrion at the end of the south
corridor and collect the items at that end. Return to the first floor of the
staircase and open the door to the first floor.

Check the shower area to find a Kitchen Knife on the floor. The barbed wire
that covers the open stall cannot be cut - it is most likely a reference to the
Silent Hill movie and nothing more. Touch the long mirror that hangs over the
sink counter to go back to the normal world.

Check the shower area for a message wrote in blood on the floor. Walk over the
stall that was sealed off in Otherworld and flush the toilet inside. The key
from earlier is stuck in this pipe, so this will send it down to the Basement -
you can’t get the key right now though because a grating covers the drain in
the East Pipe Room in the basement... in the normal world that is. Leave the
room.

== First Floor Corridor Outside Northeast Staircase ==

Both items are in the far northwest corner outside of the Female Seclusion
area. Dodge the Remnants and enter Female Dorm 5.

Pick up the [FEMALE SECLUSION] file on the chair in the southwest portion of
the room and find the other items in the room as well. Walk over to the
northeast bed and grab the **PATIENT BELONGINGS KEY** from the suspended
platform hanging from the ceiling. Exit the room and return to the outside
corridor.

Unlock the door to the staircase. There is no point in entering the staircase
area for now - just unlock it for later. Notice that the door to the Female
Seclusion is locked and a message is wrote across the door that reads:

"Dr. Harris has the key"

This door cannot be opened in this world, only in Otherworld, but it will be
opened much later in this level.

Enter the corridor to the southwest and make your way all the way back to the
First Floor Middle Lobby. You’ll unlock a door along the way and run into some
Nurses as well. Remember that you have to enter the East Solarium then exit
the other side in order to reach the First Floor Middle Lobby. The East
Solarium is now inhabited by two Nurses.

== First Floor Middle Lobby ==

Walk to the far north room (Patient Belongings) and unlock it with the Patient
Belongings Key.

== Patient Belongings ==

Pick up the [STATUS REPORT, 2/7/1961] file as well as the other items from the
desk off to Travis’ right after entering. Interact with the mirror in the
northeast portion of the room to go to Otherworld.

This part right here can be cheap thanks to the camera that refuses to show the
two Carrions that lurk out in the lobby. Arm a shotgun and aim to see Travis
raise the gun in their direction then walk ahead and fire at them. You have to
walk out into the middle portion of the Lobby to make the camera change. Enter
the Day Room in the west.

== Day Room (OW) ==

A Poker is on the right chair and the rest of the items are on the fallen
wheelchair. Go back outside and enter the East Solarium through the First
Floor Corridor Outside East Staircase.

Pick up the [POLICE REPORT] on the set of shelves to the left after walking to
the middle of the room. The Health Drink is on the floor on the west side of
the fallen cart. Reenter the outside corridor then open the door to the East
Staircase.

Two Remnants prowl the east corridor of this area, so run by them and enter the
East Pipe Room. Do not kill the Remnants or they will respawn after leaving!

== East Pipe Room (OW) ==

If Travis drained the tub in the Female Hydrotherapy and flushed the toilet in
the Women’s Restroom while in the normal world then the **INTERVIEW ARCHIVES
KEY** will be lying in the drain area in a puddle below a pipe ready for Travis
to collect it. Exit the room and enter the Basement Corridor Outside Northeast
Staircase.

There is nothing in here. Unlock the door then leave this room and climb back
up the East Staircase. Save your game then reenter the Second Floor Middle
Lobby by going through the Second Floor Corridor Outside East Staircase on the
top floor. Straight-jackets and a Carrion will be prowling the corridor.

== Second Floor Middle Lobby ==

Dash through the Remnants and Straight-jacket then use the Interview Archives
Key to unlock the room labeled "Archives" on your map - it’s in the north
portion, west room.

== Archives ==

Check the room over for items. While walking over to the desk, some dialogue
will occur. Touch the mirror and go to Otherworld.

A Carrion is around the corner. The first storage room to the east in this
corridor can be opened, but it only contains a mirror and you do not want to go
back to the normal world just yet. Open the north door and enter that
corridor.

== Basement Corridor Outside Northwest Staircase (OW) ==

Fight or run by the two Straight-jackets then open the door to the Northwest
Staircase.

== Northwest Staircase (OW) ==

There is a hammer near the bottom of the top staircase before reaching the
second floor. Open the door to the first floor - the second floor door is
locked.

Fight through the Straight-jacket and Nurses then enter the Male Seclusion in
the north.

== Male Seclusion (OW) ==

Pick up the Baton and [CLIPBOARD FILE] from the chair near the doors then
examine the doors (for those that cannot be opened) and rooms (for those that
can be opened) carefully. Rooms #1, #3, and #5 can be entered. Only Room 1
contains an item. Examine the rooms then exit this area.

Two Straight-jackets will now attack in this corridor. Go back down the stairs
and head all the way back to the storage room in the basement that we passed
earlier. Two Remnants will be prowling the first corridor in the basement and
a Carrion will be in the corridor outside the storage room.

Unlock the door to the Middle Lobby then enter the First Floor Middle Lobby.

== First Floor Middle Lobby ==

Two Nurses now wander this area. Unlock the Dr.’s Office door with Dr. Harris’
Key.

== Dr.’s Office ==

Pick up the [PATIENT NOTES] file and then grab the **JOCASTA ARTIFACT**. Some
very cool music will start to play after picking up the Jocasta Artifact.
Regarding the Patient Notes, you can substitute the patient name displayed in
that file into the files where the name was previously blocked out.

Now that you have the Jocasta Artifact, the door to the Female Seclusion on the
first floor of Otherworld’s Sanitarium may now be unlocked. Exit the room.

Head to the northeast and open up the next few doors while heading east and
staying along the corridors. Enter the Women’s Restroom in the south portion
of the First Floor Corridor Outside Northeast Staircase. Use the mirror in
that Women’s Restroom in order to go to Otherworld then exit the room.

== First Floor Corridor Outside Northeast Staircase (OW) ==

Walk to the end of this corridor then use the Jocasta Artifact on the door to
the Female Seclusion to unlock it. Enter the Female Seclusion.

== Female Seclusion (OW) ==

A cutscene will play once Travis enter this area. Pick up the Baton from next
to the seat by Patient Room 5. Be sure to save your game at the save point in
between Patient Rooms 4 and 3.

Take a moment to look around the room. Notice all the child drawings hanging
up along the walls. They all have some rather interesting depictions.

This grotesque figure’s attacks range from a spike attack where spikes will
move out of her bed to a poison gas attack where she will spray out a green
poisonous gas. All of her attacks can be avoided by keeping your distance from
her. The poison gas can spread to the portion of the room in front of her, so
make sure to move away from her front side while attacking.

Constantly run away from her and turn to fire a few shots from the shotgun or
target pistol. Count the number of shots while shooting and be sure to reload
from the inventory menu often. While using the shotgun, reload after two shots
and reload after six shots for the target pistol. Reloading in real time
during the fight sequence may cause you to get hit.

Press the L button and recenter the camera behind Travis while aiming in order
to get a peak at the boss’ location for a brief few seconds. Move away if she
ever starts to move toward Travis and try to always have an idea of her
location. Be careful about moving too close to a wall since the camera will
likely not move directly behind Travis while his back is directly against a
wall.

It is not wise to arrive at this fight without some sort of projectile weapon.
If you are running low on bullets then throw alcohol bottles or portable TV’s
at her.

Pick up the **PAST PIECE** of the Flauros once the boss is defeated and another
cutscene will play.

Travis will wake up on a bench in the First Floor Middle Lobby of the
Sanitarium. Walk over to the table by the sitting area across from the
reception office by the entrance to the Sanitarium and pick up the **THEATER
TICKET** lying on the table. The game will not allow Travis to leave unless he
picks up the ticket.

( ) Pick up the Lumber Yard Key from the trunk of the car outside the
Sanitarium
( ) Return to the Butcher Shop and walk through it to return to the west end of
the streets
( ) Find the Lumber Yard on the map then use the Lumber Yard Key to unlock the
entrance then enter the Lumber Yard
( ) Go through the Lumber Yard and exit out to the east streets of Silent Hill
( ) Find the blood trail near the Greenfield Apartments and follow it to the
stairs then go up the stairs and unlock the door to the apartments then
enter them
( ) Find the hole in the upstairs room and leap through it then exit the
Greenfield Apartments
( ) Run over to the Artaud Theater entrance and use the Theater Ticket at the
box office to unlock the entrance door then enter the theater
-------------------------------------------------------------------------------

Pick up the **LUMBER YARD KEY** from the open trunk of the car displayed in the
camera angle after exiting the Cedar Grove Sanitarium.

Go all the way back to the Butcher Shop on Toluca Ave. and enter through the
back door once again. Carrions and Straight-jackets once again litter the
road. There are no extra items pickups on this side of the streets unless you
forgot some last time.

Follow the blood trail to the door of the front room then enter the front room
of the Butcher Shop.

== Butcher Shop (Front Room) ==

Continue to the follow the blood trail as it leads toward the entrance of the
Butcher Shop. Save your game and be sure to pick up the [BLOODY CAP] from in
front of the entrance doors. Exit the building.

Well, it looks as if the Butcher wasn’t exactly finished with that Nurse when
he killed her and left her for dead the last time we entered the Butcher Shop.

Find the Lumber Yard on the map of Silent Hill and head there. Once again,
there are no new items on this side of the streets, so just go straight to the
Lumber Yard - it’s in the northwest along Midway Ave. Enter the alley then use
the Lumber Yard Key to unlock the gate to the Lumber Yard.

== Lumber Yard ==

Sounds like something is dragging a big cleaver up ahead doesn’t it? Hmmm.

Immediately turn right after entering and pick up the Hammer at the end of the
dead end path on that side. Maneuver through all the stacks of lumber and be
sure to pick up the [NEWSPAPER] upon turning to the left just after the area
with the fixed camera. Another Hammer will be lying on a stack of covered
lumber right before reaching the exit. Open the exit door to exit out to the
east side of Silent Hill.

Notice how the scraping of the cleaver stops once Travis reaches the end.
Strange.

You’ll start out on Industry Ave. Your main destination is the Artaud Theater,
but you’ll have to go through the Greenfield Apartments in order to reach the
theater. Be sure to check this portion of the streets over for all the items
listed below.

Carrions and Straight-jackets will attack like normal. Find the blood trail in
the east (to the west of the Lutheran Church) and it will lead to the back
entrance of the Greenfield Apartments. Run up the stairs and open the door in
the back of the building.

There are tons of items lying around in this area, so be sure to check the
rooms over really well. Walk through the doorway and into the middle of the
apartment. Pick up the [NAPKIN] next to the bed in the room that the hall
leads to. The reading of the Napkin is very nostalgic for fans of Silent Hill
2.

Something tells me that the Butcher has been here - can’t quite lay my finger
on it, but yeah... Jump into the hole in the bathroom to reach the floor below.
All the items are on the top floor, so make sure to get them all before jumping
into the hole.

Walk over to the set of mailboxes and notice the one that is overflowing with
mail. Upon examining it, Travis will notice that the mailbox number is "213"
and it will be highlighted on the screen in a light blue as if it is important.
It is. Open the front door at the bottom of the steps to get back out on the
streets of Silent Hill.

Run directly ahead and follow the path behind the fence to find some extra
items. There are several more items along the sides of the theater. Go as far
to the west as you can go and collect the items along the sides of the street.

The game will not allow Travis to move too far down Koontz St. or open the door
to the Public Records building just yet. Walk over to the front of the Artaud
Theater and use the Theater Ticket at the box office counter. This will unlock
the set of doors back to the right, so open them to enter the Artaud Theater.

( ) Pick up the map on the bench in the Lobby
( ) Enter the Director’s Office and collect the Sun Totem
( ) In the Men’s Dressing Room, touch the mirror to go to Otherworld
( ) In the Director’s Office (OW), collect the Balcony Corridor Key
( ) Go back to the normal world via the mirror in the Men’s Dressing Room
(OW)
( ) Return to the Lobby and climb the stairs to the second floor then use the
Balcony Corridor Key to unlock the door to the Balcony Corridor
( ) Enter the Lighting Box and collect the 125W Light Bulb, 250W Light Bulb,
500W Light Bulb, and 750W Light Bulb
( ) In the East Corridor Next to Lobby, pick up the Moon Totem
( ) Return to the Men’s Dressing Room and touch the mirror once again to go to
Otherworld
( ) Go to the East Balcony Corridor (OW) on the second floor and place the
Sun Totem and Moon Totem on the sidewalls beside the door to unlock the
door to the staircase leading to the third floor
( ) Enter the Costume Storage (OW) and touch the mirror to return to the
normal world
( ) Place the stage lights on the correct plugs on the South Catwalk then throw
the switch on the control panel in that room to turn on the stage lights
( ) Return to the Curtain Control and pull the switch on the control panel to
raise the outside curtain
( ) On the stage, pull the switches to make the forest scenery appear then
touch the big mirror to go to the Otherworld Forest Stage
( ) Pick up the Stage Office Key from the middle tree on the Otherworld
Forest Stage then go back to the normal world stage
( ) Unlock then enter the Stage Office and collect the Stage Prop Lever
( ) Use the Stage Prop Lever on the stage control panel then pull the correct
levers to make the Cave Scenery appear
( ) Touch the mirror to enter the Otherworld Cave Stage
( ) Defeat the boss then collect the Falsehood Piece of the Flauros
( ) Grab the Riverside Motel Key from the dead Ariel in the Lobby
( ) Exit the Artaud Theater
-------------------------------------------------------------------------------

== Lobby ==

First of all, pick up the [THEATER MAP] on the bench behind the box office
windows. There is a Health Drink and a Wrench on the west side near a waste
can. Save your game at the save point to the right of the entrance to the
Auditorium. The upstairs door will lead to some locked doors, so there is no
need to go up there at the moment. Pick up the [THEATER PROGRAM PAGE] from the
wooden sign by the entrance to the Auditorium then open the doors to the
Auditorium.

Walk down the seating area and a cutscene will trigger. Follow the carpet
toward the stage then turn right and grab the Health Drink from near the locked
door on that side. Return to the middle and walk to the door on the west side
of the Auditorium then open it.

The camera angle will show a stage puppet hanging from the ceiling as Travis
enters. Isn’t it amazing how scary a simple puppet can look in a Silent Hill
game? Take the Typewriter from the left shelf then exit the room.

Pick up the [TECHNICIAN’S WARNING] from the curtain controls. The controls are
useless for the moment since the stage lights have to be set up on the catwalks
above the stage before the power will work for the stage curtain.

Collect the items in the room then save your game at the save point on the
opposite wall. Open the door by the save point and enter the corridor outside.

That music has a very unpleasing tone, don’t you think? Walk to the south and
collect the Hammer from the top of the waste can. The door at that end is
locked from the other side, so open the door to the north.

Notice the puppet hanging from the ceiling up ahead? Move toward the puppet
and a cutscene will trigger.

Well, you knew this was coming. Arm a good melee weapon and trash the Ariel
(puppet). These puppets will attack by strangling Travis from up close while
they hang - tap the X button to break free from their hold. Hit them with a
melee weapon and keep attacking to make them fall then finish them.

If they get up, then they will stand on their hands and kick with their legs.
Their attack is faster while they stand on their hands, so you can’t always
just keep attacking with a melee weapon but most of the time you can. They
will appear in some rooms while already standing on their hands, so learn how
to fight them both ways during your time in this theater.

Find the Health Drink on the shelf next to the mannequin torsos (one has
fallen). Don’t enter the Men’s Dressing Room just yet. Move further down the
hall to the west, collecting the items along the way, then open the door to the
Director’s Office. Another Ariel will attack at the other end of the hall.

First of all, pick up the **SUN TOTEM** from the desk up ahead then find the
[HANDWRITTEN DIARY] in the middle of the desk and finally snatch the ++SERVICE
PISTOL++ and ammo for it in the desk drawer. Lastly, pick up the Health Drink
from the shelf in the back then exit. Run back down the outside hall and open
the door to the Men’s Dressing Room. Another Ariel will appear off to the left
while exiting the Director’s Office.

Exit the room then run down the hall and enter the Director’s Office - two
Ariels will be right outside of the Men’s Dressing Room. I would recommend
running unless you can get some distance in between them to take them on one at
a time.

== Director’s Office (OW) ==

Pick up the **BALCONY CORRIDOR KEY** and Service Pistol Ammo from the chair
inside. Exit the office then return to the Men’s Dressing Room and touch the
mirror to go back to the normal world. There is absolutely no reason to go any
deeper into Otherworld unless you just want to fight some extra enemies.